  <form action="<?=site_url('home/new_info')?>" method="post" enctype="multipart/form-data" name="mc_info" id="mc_info">
    <fieldset>
      <legend>谋成网络内部信息传送</legend>
	  <div id="idnu">谋成网络提醒：发送单流水号：<b><?=$id?></b>，请牢记此流水号，便于后面查询！</div>
      <div>
        <label for="othername">订单别名</label>
        <input type="text" name="othername" id="othername" />
      </div>
      <div>
        <label for="qu">区</label>
        <input type="text" name="qu" id="qu" />
      </div>
      <div>
        <label for="serv">服务器</label>
        <input type="text" name="serv" id="serv" />
      </div>
      <div>
        <label for="prof">职业</label>
        <input type="text" name="prof" id="prof" />
      </div>
      <div>
        <label for="role">角色名</label>
        <input type="text" name="role" id="role" />
      </div>
      <div>
        <label for="maid">战网帐号</label>
        <input type="text" name="maid" id="maid" />
      </div>
      <div>
        <label for="gameid">游戏帐号</label>
        <input name="gameid" type="text" id="gameid" value="暂无" />
      </div>
      <div>
        <label for="gamepass">游戏密码</label>
        <input type="text" name="gamepass" id="gamepass" />
      </div>
      <div>
        <label for="passcard">上传</label>
        <input type="file" name="passcard" id="passcard" />
        <div id="preview_card"><span>密保卡</span><em><img src="images/nocard.jpg" /></em></div>
      </div>
      <div class="cookiechk">
        <label>
          <a href="#" title="保存信息">保存信息</a></label>
        <input name="sub_info" type="submit" class="buttom" value="保存入库" />
      </div>
    </fieldset>
  </form>